Active NPIIndividual provider

Miss Kathleen A Moran, ATC

Specialist/Technologist, Athletic Trainer in Ocean City, New Jersey

NPI Number1396021549
Practice location
501 Atlantic Ave, Ocean City, NJ 08226-3892
Fax
—
Last updated
December 14, 2020

Kathleen Ann Moran is a Specialist/Technologist, Athletic Trainer based in Ocean City, NJ. Kathleen Ann Moran practices in Ocean City, NJ and has the professional credentials of ATC. The NPI Number for Kathleen Ann Moran is 1396021549 and holds a License No. RT005053 (PA). The current practice location address for Kathleen Ann Moran is 501 Atlantic Ave, Ocean City, NJ 08226-3892 and can be reached out via phone at 609-338-3747.

Provider Profile Details

NPI Number
1396021549
Provider Name
Kathleen Ann Moran
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
501 Atlantic Ave, Ocean City, NJ 08226-3892
Phone Number
609-338-3747
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Other Names
Kathleen Ann Kickish (Former Name)
Provider Enumeration Date
November 1, 2011
Last Update Date
December 14, 2020
Certification Date
December 14, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
501 Atlantic Ave
Ocean City, NJ 08226-3892
Zip
08226-3892
Phone Number
609-338-3747
Ocean City, NJ 08226Get directions →

Provider Business Mailing Address Details

Address
501 Atlantic Ave
Ocean City, NJ 08226-3892
City
Ocean City
State
NJ
Zip
08226-3892
Phone Number
609-338-3747

License Information

License Number (1)
RT005053
License State (1)
PA
License Number (2)
25MT00164500
License State (2)
NJ
Taxonomy (2)
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miss Kathleen A Moran, ATC?

The NPI number of Miss Kathleen A Moran, ATC is 1396021549. It was assigned on November 1, 2011 and is currently active in the NPPES registry.

What is the specialty of Miss Kathleen A Moran, ATC?

Miss Kathleen A Moran, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in PA under license number RT005053.

Where does Miss Kathleen A Moran, ATC practice?

The practice location is 501 Atlantic Ave, Ocean City, NJ 08226-3892. The office can be reached at 609-338-3747 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396021549 directly on the NPPES registry website.

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